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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREGORY J PETTAWAY II, MD

Active

GREGORY J PETTAWAY II, MD is a Emergency Medicine healthcare provider located in SOUTH BEND, Indiana. NPI 1851701841 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · SOUTH BEND, IN

Registration Details

NPI Number
1851701841
Provider Type
Individual
Gender
Male
NPI Issued
Apr 30, 2014 (12.2615126763 yrs)
Last Updated
Jul 21, 2022
License
01078046A (IN)

Practice Information

Address
615 N MICHIGAN ST
SOUTH BEND, IN, 466011033
Browse IN providers · Browse ZIP 46601
Phone
5746471000
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in SOUTH BEND, IN

Name Credential NPI
ALGIS J BALIUNAS MD 1871567842
THOMAS SWEENEY DO 1255394524
JENNIFER L. LACKMAN-CHUPPE MD 1568428019
JOSEPH C LEE M.D. 1326067976
JOHN ROBERT WOODS M.D. 1316046485
DR. MICHAEL LEWIS BLAKESLEY MD 1275614570
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.